| Carterville Dental Center | |
|
809 South Division Carterville IL 62918 | |
| (618) 985-4200 | |
| (618) 985-4137 |
| Full Name | Carterville Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 809 South Division, Carterville, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carterville Dental Center 809 South Division Carterville IL 62918 Ph: (618) 985-4200 | Carterville Dental Center 809 South Division Carterville IL 62918 Ph: (618) 985-4200 |
| NPI Number | 1831311224 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831311224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Carterville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Division St, Carterville, IL 62918 Phone: 618-985-3515 Fax: 618-985-3986 | |
John A. Logan College Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Logan College Dr, Carterville, IL 62918 Phone: 618-985-2828 Fax: 618-985-4654 |